+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Catheter ablation of bundle branch reentrant ventricular tachycardia



Catheter ablation of bundle branch reentrant ventricular tachycardia



Heart Rhythm 5(6 Suppl): S68-S72



Bundle branch reentrant ventricular tachycardia (BBR-VT) is a form of macroreentrant tachycardia involving the bundle of His, both bundle branches, and the ventricular myocardium in the circuit. It generally occurs in the background of dilated cardiomyopathy, prior valve surgery, or other cardiac disease with an underlying His-Purkinje system (HPS) disease. Clinically, BBR-VT usually results in marked hemodynamic compromise and often presents with syncope, presyncope, or sudden cardiac arrest. When a ventricular tachycardia is induced, the presence of His deflections preceding every ventricular deflection should alert one to the possibility of this entity. It is important to show that oscillations in the H-H cycle length results in variations in V-V cycle length. Entrainment of the tachycardia from atrium and right ventricular apex and characteristics of postpacing intervals can be used to differentiate this arrhythmia from intramyocardial reentry and supraventricular tachycardia with aberrancy. Right bundle branch ablation usually cures the tachycardia, and recurrence is uncommon. The underlying cardiac disease and ventricular dysfunction dictate the prognosis and choice of device therapy in these patients.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 051972448

Download citation: RISBibTeXText

PMID: 18456206

DOI: 10.1016/j.hrthm.2008.02.036


Related references

Catheter Ablation of the Left Bundle Branch for the Treatment of Sustained Bundle Branch Reentrant Ventricular Tachycardia. Journal Of Cardiovascular Electrophysiology. 6(1): 40-43, 1995

Long-term clinical outcome of right bundle branch radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia. Pacing and Clinical Electrophysiology 18(12 Pt 1): 2135-2143, 1995

Bundle branch reentrant ventricular tachycardia: An indication for catheter ablation. Zeitschrift fuer Kardiologie 82(2): 116-122, 1993

Radiofrequency catheter ablation of the bundle branch reentrant ventricular tachycardia. Acta Medica Austriaca 28(1): 16-20, 2001

Interfascicular reentrant ventricular tachycardia Utility of bundle branch potentials in diagnosis and catheter ablation. Circulation 86(4 Suppl. 1): I519, 1992

Radiofrequency catheter ablation for treatment of bundle branch reentrant ventricular tachycardia: results and long-term follow-up. Journal of the American College of Cardiology 18(7): 1767-1773, 1991

Selective percutaneous catheter ablation of the right bundle branch in patients with sustained bundle branch reentrant tachycardia. Journal of the American College of Cardiology 7(2 Suppl. A): 243A, 1986

Left bundle branch-Purkinje system in patients with bundle branch reentrant tachycardia: lessons from catheter ablation and electroanatomic mapping. Heart Rhythm 6(1): 51-58, 2009

Incessant interfascicular reentrant ventricular tachycardia as a result of catheter ablation of the right bundle branch: case report and review of the literature. Journal of Cardiovascular Electrophysiology 20(11): 1279-1283, 2010

Bundle branch reentrant tachycardia treated by transvenous catheter ablation of the right bundle branch. Pacing and Clinical Electrophysiology 12(1 Pt 2): 258-261, 1989

Prospective search for bundle branch reentrant ventricular tachycardia high incidence 22 percent and frequent association with nonbundle branch reentrant ventricular tachycardia. Circulation 84(4 Suppl. 2): II318, 1991

Long term clinical follow-up of patients post right bundle ablation for bundle branch reentrant ventricular tachycardia. Circulation 88(4 Part 2): I354, 1993

Successful catheter ablation of focal ventricular tachycardia originating from right bundle branch without making right bundle branch block, using pharmacologic induction by landiolol. Heartrhythm Case Reports 3(12): 586-589, 2017

Catheter Ablation of the Left Posterior Fascicle for Bundle Branch Re-Entrant Ventricular Tachycardia With Right Bundle Branch Block Morphology: A Stepwise Approach. Jacc. Clinical Electrophysiology 3(4): 415-416, 2017

Successful radiofrequency catheter ablation of "clockwise" and "counterclockwise" bundle branch re-entrant ventricular tachycardia in the absence of myocardial or valvar dysfunction without detecting bundle branch potentials. Heart 89(4): E12, 2003